The specialty, frontier and home delivery pharmacies business of UnitedHealth Group’s pharmacy benefit manager, Optum Rx, has named Michael Einodshofer as CEO. Mr. Einodshofer most recently served as chief growth officer at Free Market Health, a healthcare technology company focused…
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Earlier in June, the HHS Office of Inspector General published two reports shedding light on post-acute care denials and overturned appeals from Medicare Advantage organizations. AHIP is pushing back. “The reports ignore serious, well-documented concerns about wide variations in the…
Most health systems can launch an AI pilot. Far fewer turn that early momentum into measurable, organization wide results. The first months after deployment are where it’s decided. Measurement choices, workflow friction and change management either embed AI into daily…
Presented by:
- H. Jay Wisnicki, M.D., Medical Director, Union Square Eye Center
- Aaron Nye, Chief Operations Officer, Connect America
- Stephanie Lahr, MD, CHCIO, FACHDH, Chief Medical Information Officer, IntelePeer
When Gundersen Health System and Bellin Health merged to form Emplify Health in 2025, training leaders faced a clear challenge: unify EHR education across two organizations and tens of thousands of clinicians without disrupting care. Their answer was a shift…
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Community Behavioral Health, a Medicaid behavioral health managed care plan in Philadelphia, didn’t meet federal and state requirements around prior authorization denials, according to a June audit report from HHS’ Office of Inspector General. CBH received about $1.28 billion in…
The Congressional Budget Office is requesting more research on the No Surprises Act. In a June 15 website post, CBO called for research relying on more recent data, as claims data for existing studies end in 2023, while arbitration patterns…
Luigi Mangione’s defense team has withdrawn its plan to mount a psychiatric defense at his New York state murder trial in the death of UnitedHealthcare CEO Brian Thompson. The reversal came one day after Manhattan Judge Gregory Carro said during…
Clever Care Health Plan named Magda Lenartowicz, MD, as chief medical and innovation officer. In a June 18 LinkedIn post, the company said Dr. Lenartowicz brings over two decades of experience in value-based care for complex and high-risk populations. She…
Physician burnout continues to impact the overall sustainability of the U.S. healthcare system. In this paper, the American Medical Association (AMA) presents key findings from their 2025 national physician well-being survey. Findings include year-over-year national trends across key indicators such…
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Women’s health is too often treated as a narrow benefit category, defined by maternity and annual screenings. The result is a system in which underdiagnosis is the norm, not the exception. For every one woman diagnosed with a serious condition,…
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